Outcomes of an integrated practice unit for vulnerable emergency department patients.

Background: An integrated practice unit (IPU) that provides a multidisciplinary approach to patient care, typically involving a primary care provider, registered nurse, social worker, and pharmacist has been shown to reduce healthcare utilization among high-cost super-utilizer (SU) patients or multi-visit patients (MVP). However, less is known about differences in the impact of these interventions on insured vs. uninsured SU patients and super high frequency SUs ([Formula: see text]8 ED visits per 6 months) vs.

Peripheral artery tonometry demonstrates altered endothelial function in children with type 1 diabetes.

Objectives: To assess the ability of reactive hyperemia-peripheral artery tonometry (RH-PAT) to serve as a surrogate marker of endothelial dysfunction in children with type 1 diabetes (T1D).

Research Design And Methods: Forty-four children with T1D [age 14.6 +/- 2.

Response to nonprescription epinephrine inhaler during nocturnal asthma.

Background: Many health care professionals believe that a nonprescription epinephrine metered-dose inhaler is less effective and shorter acting and has more cardiovascular adverse effects than prescription beta2-agonists.

Objective: To determine if increasing the epinephrine dose improves efficacy safely.

Methods: Eight patients with nocturnal asthma (age range, 20-46 years) were treated in a randomized, crossover manner on 2 different nights while sleeping in a clinical research center.